The purpose of the Bravo study is to measure the number of reflux episodes your child has over a specified time period. Before the study you will stop all reflux medications (listed below) at least 5 days before your procedure. During this study:
- DO NOT take any medications for reflux or acid reducers such as omeprazole, lansoprazole, esomeprazole, Prevacid, Prilosec, Nexium, Zantac, ranitidine, Tums or other calcium chews. If you are uncertain about a medication please call the office to make sure it is ok for your child to have during the study.
- DO NOT give ibuprofen for pain or discomfort after the procedure as this could increase the risk of bleeding. You may give acetaminophen.
- If the recorder begins to buzz, it has lost signal, bring the box up to the patient’s chest until it stops buzzing. This will reconnect the recorder to the Bravo sensor in the esophagus.
- Please do not remove any stickers from the device as this is how we identify the study is your child’s.
The receiver records every episode of reflux that your child may have during the study. The buttons on the recorder provide our physicians with additional information to help better identify triggers and develop the best plan of care for your child. To use the buttons, you will first push any of the 5 buttons under the screen to “wake up” the recorder (three pictures will appear on the screen); next you will press the appropriate buttons as below:
The “circle” icon is the symptom button. You will press it when your child has regurgitation, heartburn, vomiting, abdominal pain, or any symptom you feel is related to their GI problems. This will cause a beep and the icon will light up once.
- The buttons on each end are recording buttons. You will turn these buttons on and off when it’s appropriate.
- The ”knife and fork” icon is used to record when you child is eating anything other than clear liquids. If your child is eating, you will press any button to “wake the box up” and then press the knife and fork button. The green light on that button will blink letting you know it is recording. When you child is finished eating, press the button again to turn off the recording. The green light will go off.
- The “bed” icon is used to record any time your child is lying flat with their head elevated with no more than one pillow. This can be on their side, back or stomach. You follow the same instructions as the “knife and fork”
The study will last for approximately 48 hours. Once complete, you may begin to give your child any stomach medications they were on prior to this study as well as any medications the doctor may have prescribed at the time of the procedure.
Your child should pass the sensor in their stool within 5-10 days.
You will bring the recorder back to the GI For Kids office at 1975 Town Center Blvd 2 days after the procedure.
Procedure Day: Return Day:
Your child should not have an MRI within 30 days of the date of the study as the sensor has some trace metal inside. If your child needs an MRI during this time, we will need to obtain a simple x-ray to ensure it has left the system.
If you have any questions or concerns, please don’t hesitate to contact our office at 865-546-3998.
Thank you for allowing our staff at GI For Kids to care for your child.